| NPI | 1699963207 |
|---|---|
| Former Name | SANDRA L WEBSTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ND 1440) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2007-10-09 |
| Last Update Date | 2020-09-23 |